Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $46.43 / $46.44 / $66.56	Facility	26	$46.43	$46.44	$66.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $84.00 / $103.71 / $461.00	Professional		$84.00	$103.71	$461.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $42.08 / $46.44 / $159.43	Professional	26	$42.08	$46.44	$159.43
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $88.45 / $277.33 / $788.00	Professional	50	$88.45	$277.33	$788.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $39.92 / $52.38 / $92.65	Professional	TC	$39.92	$52.38	$92.65
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $79.06 / $119.03 / $152.19	Professional		$79.06	$119.03	$152.19
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $42.17 / $44.73 / $62.73	Professional	26	$42.17	$44.73	$62.73
BCBS Facility/Professional Professional Modifier Low / Median / High Price $85.02 / $106.28 / $179.65	Professional		$85.02	$106.28	$179.65
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $41.61 / $56.00 / $98.46	Professional	26	$41.61	$56.00	$98.46
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $43.41 / $47.83 / $79.12	Professional	TC	$43.41	$47.83	$79.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $86.66 / $107.94 / $176.62	Professional		$86.66	$107.94	$176.62
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $48.25 / $60.35 / $89.67	Professional	26	$48.25	$60.35	$89.67
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $44.15 / $54.52 / $94.82	Professional	TC	$44.15	$54.52	$94.82
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $52.08 / $72.73 / $117.17	Facility	26	$52.08	$72.73	$117.17
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.05 / $54.68 / $137.35	Professional		$30.05	$54.68	$137.35
United Facility/Professional Professional Modifier Low / Median / High Price $82.11 / $99.39 / $179.00	Professional		$82.11	$99.39	$179.00
United Facility/Professional Professional Modifier 26 Low / Median / High Price $40.60 / $50.44 / $85.02	Professional	26	$40.60	$50.44	$85.02
United Facility/Professional Professional Modifier TC Low / Median / High Price $38.39 / $51.41 / $80.66	Professional	TC	$38.39	$51.41	$80.66